2 days before being admitted to the hospital, Mr. LVB (63 years old, Vinh Long province) had a headache, dizziness, and increased blood pressure, so his family took him to Hoan My Cuu Long Hospital for examination. Immediately after receiving the patient, the on-duty doctor team assessed that the patient had signs of an acute stroke, so they activated the Code Stroke (acute stroke emergency procedure).
The patient was prescribed a CT scan of the brain immediately. The results showed subarachnoid hemorrhage due to a ruptured aneurysm measuring 05 x 05mm.
The assessment showed that the cerebral aneurysm had ruptured, with a deterioration that threatened the patient's life. The team of doctors agreed to apply the method of sealing the ruptured aneurysm with a metal coil (Coil) under a digital angiography machine. background subtraction (DSA). The intervention team inserted a small catheter (about 1.8mm in diameter) from the femoral artery to the damaged brain circuit; Approach the cerebral aneurysm and perform embolization of the aneurysm using a coil under the digital subtraction angiography (DSA) system.
Intervention time lasts about 1 hour. After 5 days of intervention, the patient's condition almost completely recovered, he was alert, no weakness, and has now been discharged from the hospital for outpatient follow-up.
BS.CKII. Nguyen Huu Thai, Head of the Department of Cardiology - Endovascular Intervention, Hoan My Cuu Long Hospital, said that stroke is a dangerous condition that can leave severe neurological sequelae and even death if not treated. be treated promptly. There are two types of stroke: hemorrhagic stroke and ischemic stroke. Compared with ischemic stroke, hemorrhagic stroke is less common and has a higher mortality rate.
The time from the appearance of stroke signs to the start of treatment is extremely important. This is called the "golden hour" that determines the patient's life as well as minimizing brain damage. The golden hour in stroke is less than 3 hours.
To effectively control stroke and optimize treatment costs, emergency response time and stroke treatment within the "golden hour" are prerequisites. Therefore, when a patient has any signs of a stroke, they should immediately go to the nearest specialized stroke center for the fastest diagnosis and treatment.
